Worst medical Aid

My partner and I made the decision to join Discovery Health, believing it to be a prudent choice for our healthcare needs. Unfortunately, the current experience has proven to be deeply disappointing. At the time of the incident, I was pregnant and had an active maternity benefit registered on the medical aid plan. I subsequently suffered a miscarriage and required a four-day hospital admission.

* Pre-authorisation: Hospital admission was pre-authorised by the medical aid prior to my being admitted. * Current Situation: I am now receiving distressing calls from the hospital regarding outstanding payments, as the medical aid has failed to cover the costs for the hospital stay and for several treating specialists. * Specialist Follow-up: Furthermore, a subsequent follow-up appointment with my gynaecologist was also not covered. * Communication Breakdown: When attempting to enquire about the unpaid claims, the medical aid representatives were unable to provide a clear or satisfactory explanation for the non-payment.

Given that the maternity benefit was active, my understanding was that it should cover all associated costs relating to the pregnancy, including complications such as a miscarriage. Does the active maternity benefit not inherently cover all medical services directly related to the pregnancy, including treatment for complications like a miscarriage and necessary follow-up care?